Provider Demographics
NPI:1609838275
Name:SANCHEZ, LEOPOLDO C (MD)
Entity Type:Individual
Prefix:DR
First Name:LEOPOLDO
Middle Name:C
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:906 S SUNSET AVE
Mailing Address - Street 2:SUITE # 102
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790-3400
Mailing Address - Country:US
Mailing Address - Phone:626-962-6829
Mailing Address - Fax:626-962-6489
Practice Address - Street 1:906 S SUNSET AVE
Practice Address - Street 2:SUITE # 102
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-3400
Practice Address - Country:US
Practice Address - Phone:626-962-6829
Practice Address - Fax:626-962-6489
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC37760207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA87962Medicare UPIN
CAC37760Medicare ID - Type Unspecified